COREY DIETZE, DPT, ATC-LAC
Physical Therapist
Active
Individual
NPI: 1417073875
Practice Address
BLANCHFIELD ARMY COMMUNITY HOSPITAL650 JOEL DRIVE
Fort Campbell, KY 42223
Phone: (270) 798-8400
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physical Therapist | 225100000X | Yes | 11466 (TN) |
| Physical Therapist - Orthopedic | 2251X0800X | No | 11466 (UT) |
| Specialist/Technologist - Athletic Trainer | 2255A2300X | No | 4253 (FL) |
Frequently Asked Questions
NPI 1417073875 is the National Provider Identifier for COREY DIETZE, DPT, ATC-LAC, a Physical Therapist provider located in Fort Campbell, KY. This NPI was enumerated on March 21, 2007.
COREY DIETZE, DPT, ATC-LAC practices at BLANCHFIELD ARMY COMMUNITY HOSPITAL, 650 JOEL DRIVE, Fort Campbell, KY 42223.
Quick Facts
- NPI
- 1417073875
- Type
- Individual
- Enumerated
- Mar 21, 2007
- Last Updated
- Feb 10, 2020
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